Discuss some of the difficulties inherent in the identification of diseases that occurred in the past
What will be an ideal response?
A. Difficulties in identification of diseases
1. attempts to write the history of disease have foundered on a false
assumption
a. that we can recognize past visitations of identifiable diseases,
known to modern medical science, from symptoms historical
sources describe
b. unrealistic expectations
2. people in the past looked at disease with perceptions different from ours
a. symptoms they spotted would not necessarily be those an observer today would note
b. did not use the same sort of language to describe them
c. literary and scientific literature introduces new paradigms of
disease and discards or displaces old ones
3. diseases change
a. microorganisms that cause disease are subject to rapid mutations
b. evolve fast because they reproduce rapidly
c. respond quickly to changing environments
d. new pathogens are deadly because they are unfamiliar
e. no one has built up immunity to them
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